Impact of common cardio-metabolic risk factors on fatal and non-fatal cardiovascular disease in Latin America and the Caribbean: an individual-level pooled analysis of 31 cohort studies
Por:
Carrillo-Larco, Rodrigo M., Stern, Dalia, Hambleton, Ian R., Hennis, Anselm, Cesare M.D., Lotufo P., Ferreccio C., Irazola V., Perel, Pablo, Gregg, Edward W., Miranda, J. Jaime, Ezzati, Majid, Danaei, Goodarz, Aguilar-Salinas, Carlos A., Alvarez-Vaz, Ramon, Amadio, Marselle B., Baccino, Cecilia, Bambs, Claudia, Bastos, Joao Luiz, Beckles, Gloria, Bernabe-Ortiz, Antonio, Bernardo C.D., Bloch, V, Katia, Blumel, Juan E., Boggia, Jose G., Borges, Pollyanna K., Bravo, Miguel, Brenes-Camacho, Gilbert, Carbajal, Horacio A., Rascon M.S.C., Ceballos, Blanca H., Colpani, Veronica, Cooper, Jackie A., Cortes, Sandra, Cortes-Valencia, Adrian, Cunha, Roberto S., D'Orsi, Eleonora, Dow, William H., Espeche, Walter G., Fuchs, Flavio D., Fuchs, Sandra C., Gimeno, Suely G. A., Gomez-Velasco, Donaji, Gonzalez-Chica, David A., Gonzalez-Villalpando, Clicerio, Gonzalez-Villalpando M.-E., Grazioli, Gonzalo, Guerra, Ricardo O., Gutierrez, Laura, Herkenhoff, Fernando L., Horimoto, Andrea R. V. R., Huidobro, Andrea, Koch, Elard, Lajous, Martin, Lima-Costa, Maria Fernanda, Lopez-Ridaura, Ruy, Maciel, Alvaro C. C., Manrique-Espinoza, Betty S., Marques, Larissa P., Mill, Jose G., Moreira, Leila B., Muñoz O.M., Ono, Lariane M., Oppermann, Karen, Paiva, Karina M., Peixoto, V, Sergio, Pereira, Alexandre C., Peres, Karen G., Peres, Marco A., Ramirez-Palacios, Paula, Rech, Cassiano R., Rivera-Paredez, Berenice, Rodriguez, I, Nohora, Rojas-Martinez, Rosalba, Rosero-Bixby, Luis, Rubinstein, Adolfo, Ruiz-Morales, Alvaro, Salazar, Martin R., Salinas-Rodriguez, Aaron, Salmeron, Jorge, Sanchez, Ramon A., Silva, Nelson A. S., Silva, Thiago L. N., Smeeth, Liam, Spritzer, Poli M., Tartaglione, Fiorella, Tartaglione, Jorge, Velazquez-Cruz, Rafael
Publicada:
1 dic 2021
Resumen:
Background: Estimates of the burden of cardio-metabolic risk factors in
Latin America and the Caribbean (LAC) rely on relative risks (RRs) from
non-LAC countries. Whether these RRs apply to LAC remains un-known.
Methods: We pooled LAC cohorts. We estimated RRs per unit of exposure to
body mass index (BMI), systolic blood pressure (SBP), fasting plasma
glucose (FPG), total cholesterol (TC) and non-HDL cholesterol on fatal
(31 cohorts, n = 168,287) and non-fatal (13 cohorts, n = 27,554)
cardiovascular diseases, adjusting for regression dilution bias. We used
these RRs and national data on mean risk factor levels to estimate the
number of cardiovascular deaths attributable to non-optimal levels of
each risk factor.
Results: Our RRs for SBP, FPG and TC were like those observed in cohorts
conducted in high-income countries; however, for BMI, our RRs were
consistently smaller in people below 75 years of age. Across risk
factors, we observed smaller RRs among older ages. Non-optimal SBP was
responsible for the largest number of attributable cardiovascular deaths
ranging from 38 per 100,000 women and 54 men in Peru, to 261 (Dominica,
women) and 282 (Guyana, men). For non-HDL cholesterol, the lowest
attributable rate was for women in Peru (21) and men in Guatemala (25),
and the largest in men (158) and women (142) from Guyana.
Interpretation: RRs for BMI from studies conducted in high-income
countries may overestimate disease burden metrics in LAC; conversely,
RRs for SBP, FPG and TC from LAC cohorts are similar to those esti
-mated from cohorts in high-income countries. Funding: Wellcome Trust
(214185/Z/18/Z) (c) 2021 The Author(s). Published by Elsevier Ltd.
Filiaciones:
Carrillo-Larco, Rodrigo M.:
Imperial College London, United Kingdom
Stern, Dalia:
National Institute of Public Health, Mexico
Hambleton, Ian R.:
The University of the West Indies, Barbados
Hennis, Anselm:
Pan American Health Organization, United States
Cesare M.D.:
Middlesex University, United Kingdom
Lotufo P.:
University of São Paulo, Brazil
Ferreccio C.:
Pontificia Universidad Católica de Chile, Chile
Irazola V.:
Institute for Clinical Effectiveness and Health Policy, Argentina
Perel, Pablo:
London School of Hygiene and Tropical Medicine, United Kingdom
Gregg, Edward W.:
Imperial College London, United Kingdom
Miranda, J. Jaime:
Universidad Peruana Cayetano Heredia, Peru
Ezzati, Majid:
Imperial College London, United Kingdom
Danaei, Goodarz:
Harvard T.H. Chan School of Public Health, United States
Aguilar-Salinas, Carlos A.:
Instituto Nacional de Ciencias Médicas y Nutricion, Mexico
Alvarez-Vaz, Ramon:
Universidad de la República, Uruguay
Amadio, Marselle B.:
Centro Universitario Senac Santo Amaro, Brazil
Baccino, Cecilia:
Universidad de la República, Uruguay
Bambs, Claudia:
Pontificia Universidad Católica de Chile, Chile
Bastos, Joao Luiz:
Universidade Federal de Santa Catarina, Brazil
Beckles, Gloria:
Centers for Disease Control and Prevention, United States
Bernabe-Ortiz, Antonio:
Universidad Peruana Cayetano Heredia, Peru
Bernardo C.D.:
The University of Adelaide, Australia
Bloch, V, Katia:
Universidade Federal do Rio de Janeiro (UFRJ), Brazil
Blumel, Juan E.:
Universidad de Chile, Chile
Boggia, Jose G.:
Universidad de la República, Uruguay
Borges, Pollyanna K.:
Universidade Estadual de Ponta Grossa, Brazil
Bravo, Miguel:
MELISA Institute, Chile
Brenes-Camacho, Gilbert:
Universidad de Costa Rica, Costa Rica
Carbajal, Horacio A.:
Universidad Nacional de la Plata, Argentina
Rascon M.S.C.:
Universidad Nacional de Misiones, Argentina
Ceballos, Blanca H.:
Hospital Dr Ramon Madariaga, Argentina
Colpani, Veronica:
Federal University of Rio Grande do Sul, Brazil
Cooper, Jackie A.:
Queen Mary University of London, United Kingdom
Cortes, Sandra:
Pontificia Universidad Católica de Chile, Chile
Cortes-Valencia, Adrian:
National Institute of Public Health, Mexico
Cunha, Roberto S.:
Federal University of Espírito Santo, Brazil
D'Orsi, Eleonora:
Universidade Federal de Santa Catarina, Brazil
Dow, William H.:
University of California, Berkeley, United States
Espeche, Walter G.:
Universidad Nacional de la Plata, Argentina
Fuchs, Flavio D.:
Universidade Federal do Rio Grande do Sul, Brazil
Fuchs, Sandra C.:
Universidade Federal do Rio Grande do Sul, Brazil
Gimeno, Suely G. A.:
Universidad Federal de São Paulo, Brazil
Gomez-Velasco, Donaji:
Instituto Nacional de Ciencias Médicas y Nutricion, Mexico
Gonzalez-Chica, David A.:
The University of Adelaide, Australia
Gonzalez-Villalpando, Clicerio:
Instituto Nacional de Salud Pública, Mexico
Gonzalez-Villalpando M.-E.:
Centro de Estudios en Diabetes A.C., Mexico
Grazioli, Gonzalo:
Hospital Churruca Visca, Argentina
Guerra, Ricardo O.:
Federal University of Rio Grande do Norte, Brazil
Gutierrez, Laura:
Institute for Clinical Effectiveness and Health Policy, Argentina
Herkenhoff, Fernando L.:
Federal University of Espírito Santo, Brazil
Horimoto, Andrea R. V. R.:
University of São Paulo, Brazil
Huidobro, Andrea:
Universidad Católica del Maule, Chile
Koch, Elard:
MELISA Institute, Chile
Lajous, Martin:
National Institute of Public Health, Mexico
Harvard T.H. Chan School of Public Health, United States
Lima-Costa, Maria Fernanda:
Oswaldo Cruz Foundation, Brazil
Lopez-Ridaura, Ruy:
National Institute of Public Health, Mexico
Maciel, Alvaro C. C.:
Federal University of Rio Grande do Norte, Brazil
Manrique-Espinoza, Betty S.:
National Institute of Public Health, Mexico
Marques, Larissa P.:
Universidade Federal de Santa Catarina, Brazil
Mill, Jose G.:
Federal University of Espírito Santo, Brazil
Moreira, Leila B.:
Universidade Federal do Rio Grande do Sul, Brazil
Muñoz O.M.:
Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Colombia
Ono, Lariane M.:
Universidade Federal do Paraná, Brazil
Oppermann, Karen:
Passo Fundo University, Brazil
Paiva, Karina M.:
Universidade Federal de Santa Catarina, Brazil
Peixoto, V, Sergio:
Oswaldo Cruz Foundation, Brazil
Pereira, Alexandre C.:
University of São Paulo, Brazil
Peres, Karen G.:
NDRIS/NDCS Duke-NUS Medical School, Singapore
Peres, Marco A.:
NDRIS/NDCS Duke-NUS Medical School, Singapore
Ramirez-Palacios, Paula:
IMSS Epidemiology and Health Services Research Unit, Mexico
Rech, Cassiano R.:
Universidade Federal de Santa Catarina, Brazil
Rivera-Paredez, Berenice:
National Autonomous University of Mexico, Mexico
Rodriguez, I, Nohora:
Clinica de Marly, Colombia
Rojas-Martinez, Rosalba:
Instituto Nacional de Salud Pública, Mexico
Rosero-Bixby, Luis:
Universidad de Costa Rica, Costa Rica
Rubinstein, Adolfo:
Institute for Clinical Effectiveness and Health Policy, Argentina
Ruiz-Morales, Alvaro:
Pontificia Universidad Javeriana, Colombia
Salazar, Martin R.:
Universidad Nacional de la Plata, Argentina
Salinas-Rodriguez, Aaron:
National Institute of Public Health, Mexico
Salmeron, Jorge:
National Autonomous University of Mexico, Mexico
Sanchez, Ramon A.:
Universidad Nacional de Misiones, Argentina
Silva, Nelson A. S.:
Universidade Federal do Rio de Janeiro (UFRJ), Brazil
Silva, Thiago L. N.:
Universidade Federal do Rio de Janeiro (UFRJ), Brazil
Smeeth, Liam:
London School of Hygiene & Tropical Medicine, United Kingdom
Spritzer, Poli M.:
Federal University of Rio Grande do Sul, Brazil
Tartaglione, Fiorella:
Hospital Churruca Visca, Argentina
Tartaglione, Jorge:
Hospital Churruca Visca, Argentina
Velazquez-Cruz, Rafael:
National Institute of Genomic Medicine (INMEGEN), Mexico
Green Published, Green Accepted, gold, Gold, Green
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